Transcript Highlights:

• for those. ...hotels and other businesses, you will be fined and held accountable for your role in aiding
• to present AB 309, which will support California's comprehensive strategy to prevent the spread of HIV
• AB 309 will reaffirm California's commitment to research-driven and effective HIV and hepatitis prevention
• Association, the Drug Policy Alliance, the Health Officers Association of California, and the San Francisco AIDS
• By the grace of God and a very pregnant mother who had taken first aid classes and started administering

Summary: The Assembly convened after a quorum call, prayer, and pledge, then moved through a long Daily File with several major policy bills and multiple commemorative resolutions. The most debated measure was AB 379 on human trafficking and child exploitation. The bill was presented as a stronger, more comprehensive version that increases penalties for adults soliciting minors, adds a loitering offense tied to purchasing commercial sex, raises fines for businesses that facilitate trafficking, creates a Survivor Support Fund, and establishes grants for victim services and vertical prosecution. Several members spoke in support, while Assemblymember Sharp-Collins raised concerns that the loitering provision could be vague and disproportionately enforced against Black, Brown, and LGBTQIA+ people. The bill passed after debate, with the clerk reporting 72 noes and the measure still passing. The Assembly also passed AB 1415, which expands the Office of Health Care Affordability’s authority to review more health systems, private equity and hedge fund acquisitions, and managed service organizations in order to better track cost drivers and medical debt. Other policy bills approved included AB 711 on coordinating court reporters for motion hearings, AB 1142 on horse event entry fees, AB 309 on preserving access to sterile syringes for HIV and hepatitis prevention, AB 358 on allowing victims to consent to searches of hidden surveillance devices like AirTags and spy cameras, AB 592 on outdoor dining for restaurants, AB 1341 on clarifying contractor licensing violations, AB 752 on easing child care center siting, AB 1166 on extending debt-settlement rules to commercial financing, AB 806 on mobile home resident cooling rights, AB 972 on explicit sex discrimination protections in higher education, AB 416 on emergency room 5150 authority, AB 632 on expedited collection of penalties for serious local code violations, AB 672 on PERB notification and intervention rights, AB 876 on CRNA scope of practice, and AB 760 on temporary mobile home housing after disasters. Most of these measures passed with broad bipartisan support, though AB 672 drew sharp opposition from Assemblymember DeMaio over concerns about PERB and state bureaucracy. The chamber also adopted several resolutions recognizing May observances and public service groups. These included ACR 63 designating May as California Fairgrounds Appreciation Month, ACR 69 for California Physical Fitness and Mental Well-Being Month, ACR 76 for California Small Business Month, ACR 77 for Drowning Awareness and Prevention Month, HR 36 for Lung Cancer Action Week, HR 39 for National Public Works Week, and HR 41 for National Hospital Week. Members used the resolutions to highlight local institutions, public health, and community services, and each was adopted after co-author rolls and voice votes. The session ended after the Assembly completed the day’s file and moved through a series of routine procedural motions and adjournment-related business.

Transcript Highlights:

• /AIDS, and are twice as likely to have disabilities compared to the general population.
• And sometimes that affects people who are suffering from diseases like hepatitis C and HIV, where those
• The program is a lifeline for Ryan White HIV/AIDS clinics, FQHCs, and specialty centers.
• It's like putting a Band-Aid on a gusher. It's not going to solve the problem.
• I have worked in public health for a long time, specifically cut my teeth in the world of HIV here in

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• I guess maybe you're describing first-aid type of stuff, because to me, to hear that, I'm having a hard
• And when you say first aid... ...experience to do that. They're not the ones managing that.
• And when you say first aid, within athletic training, first aid really falls under the emergent care.
• It's with the HIV/AIDS Institute, where they did a study with 17 states that had active legislation.
• My father died of AIDS in the '80s because he was taking a medication for hemophilia and it had HIV/AIDS

Committee: House Health and Mental Health

Transcript Highlights:

• We accept that glasses are a necessary aid for some people to see clearly.
• It's an accessibility aid.
• I should be able to bring my accessibility aids with me in public, including to protests.
• and AIDS, both of which require robust investigation, research, and investment for the development of
• It is a great failure to the... ...years and appear to affect the immune system in similar ways to HIV

Committee: Joint Joint Committee on Municipalities and Regional Government

Summary: The committee held a lengthy hybrid hearing of the Joint Committee on Municipalities and Regional Government, with testimony spanning local board training, animal welfare and enforcement, municipal charters, water district dissolution, and other home rule matters. Chairs Rausch and Lewis set strict time limits because of the large number of speakers and explained that written testimony would also be accepted. Members heard from local officials, advocates, municipal employees, and residents, with many bills receiving broad support from municipal and advocacy witnesses. Several speakers supported bills requiring or expanding training for local boards and commissions, including pre-service training for planning, zoning, and other land use boards. Supporters said training would help volunteers understand complex laws, improve consistency, reduce legal challenges, and speed up housing and development decisions. Related testimony also backed a bill to modernize historic district commissions and another to allow associate planning board members to serve more broadly when needed to maintain quorums. A major portion of the hearing focused on animal legislation. Witnesses supported bills to expand citations for cruel conditions beyond dogs, update dangerous dog procedures, improve animal health inspections and breeder oversight, strengthen tethering rules, and protect pet consumers. Animal control officers, humane organizations, and some victims of dog attacks described enforcement gaps and the need for clearer standards, while several dog trainers and the American Kennel Club opposed parts of the dangerous dog bill and tethering restrictions, arguing they would limit humane training tools and professional discretion. The committee also heard strong support for a bill to create a statewide pet shop and consumer protection framework. The committee also heard testimony on several local home rule petitions. Medford officials and residents strongly supported a new city charter that would replace the current at-large council with ward-based representation and periodic charter review. Wayland representatives supported a bill to preserve the library’s Millennium Fund as intended, Cambridge officials backed creation of an employment and job training trust, and Carver officials supported dissolving the North Carver Water District due to compliance and financial problems. No votes were taken during the hearing, and the chair repeatedly invited written testimony and follow-up materials.

Transcript Highlights:

• solar property taxation exclusion, due pass is amended to strike Section 2 SB 278, Cabaldon, Medi-Cal HIV
• SB 67, Seyarto, military dependent financial aid, do pass out on an A roll call.
• off-premises advertising display do pass out on an a roll call SB 67 Sayarto military dependent financial aid

Summary: The Assembly Appropriations Committee held its August 29, 2025 suspense hearing on Senate bills, with the chair emphasizing the state’s ongoing budget constraints and the need to make difficult choices among 261 bills on the suspense file. After establishing a quorum, the committee began taking action bill by bill, with many measures receiving do pass or do pass with amendments recommendations, while others were held in committee or designated as two-year bills. The chair noted the agenda was organized alphabetically by author and that results would be posted later on the committee website. The hearing covered a wide range of topics, including insurance and claims data, wildfire relief and prevention, water planning, energy and utility regulation, housing and land use, health care, labor and employment, criminal justice, education, environmental policy, and election-related measures. Several bills were amended before passage, often to narrow scope, remove sections, adjust definitions, delay implementation, or clarify funding and enforcement provisions. Some notable actions included moving bills on AI regulation, transit-oriented housing, paid family leave, wildfire mapping, chemical hair relaxers, and pharmacy benefit managers, while other bills on subjects such as controlled substances, high-speed rail, and certain education or housing proposals were held. The committee also took formal roll-call votes on selected bills, with some passing on A roll calls and others on B roll calls; a number of measures were advanced with Republicans not voting. One highlighted vote was SB 79 by Senator Wiener, which passed after amendments and a recorded roll call. At the end of the hearing, the committee reported that 190 bills were moved to the Assembly Floor, either as do pass or do pass with amendments, concluding the suspense hearing for the session.

Transcript Highlights:

• and AIDS drug classes.
• and AIDS drug classes.
• and AIDS drug classes.
• and AIDS drug classes.
• and AIDS drug classes.

Bills: HF362 , HF2590 , HF2760 , HF3444

Committee: House Health Finance and Policy

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• the previous panelists talked about how in county indigent programs, the eligibility standards, the aid
• So could the state keep these individuals in a restricted Medi-Cal aid code and a limited set of services
• That's when a relative of a child is requesting aid for a child because their parent isn't present for
• . mental health services and HIV services.
• There’s no proposed maximum aid payment increase for October 2026 based on the projection of available

Transcript Highlights:

• A pharmacist could refuse to provide HIV prevention drugs.
• I was a child of the 80s during the height of the AIDS crisis.
• One of my mother's co-workers at a hair salon contracted HIV, and I watched how quickly things changed
• A pharmacist could refuse to provide HIV prevention drugs.
• could<00:40:50.800><c> refuse</c><00:40:51.280><c> to</c><00:40:51.520><c> provide</c><00:40:52.000><c> HIV

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• largely driven by patients and advocates who used cannabis to alleviate the devastating symptoms of HIV
• and AIDS.
• Through medical use, though medical use of cannabis, Symptoms of HIV and AIDS.

Summary: The Assembly Budget Subcommittee 5 on State Administration held an informational hearing on budget issues for the Department of Veterans Affairs, the Department of Cannabis Control, the Department of Consumer Affairs, the Commission on the Status of Women and Girls, and the California Arts Council. The chair noted there would be no votes. CalVet gave an overview of its programs serving veterans and families, including transition assistance, county veterans service officers, education approvals, housing and homelessness programs, home loans, long-term care homes, and state veterans cemeteries. Members asked about future long-term care needs for aging veterans, staffing and recruitment challenges at veterans homes, and the Yountville steam infrastructure replacement project, for which CalVet sought a $38.8 million reappropriation and said federal reimbursement was expected. CalVet also discussed the role of county veterans service officers in helping veterans file claims and avoid predatory unaccredited representatives. The Department of Cannabis Control described its regulatory role from seed to sale and requested one position to implement SB 1064’s combined activities license. Members and public witnesses focused heavily on the illicit cannabis market, enforcement staffing, and the impact of taxes and fees on the legal market. DCC said it had roughly 87 enforcement positions with about a 15% vacancy rate and more than 200 compliance staff. Its economist presented the 2024 cannabis market report, which found licensed production and retail quantity were up, but retail value and prices were down, with an estimated 11.4 million pounds of illicit production and about 60% of California consumption still coming from the illicit market. Industry witnesses argued the legal market is in crisis, urged repeal of the scheduled excise tax increase, stronger enforcement against illicit cannabis and hemp-derived intoxicants, and expanded retail access. The Department of Consumer Affairs briefly presented nine budget proposals, including a $2.6 million ongoing request to maintain a business modernization system for several boards and bureaus. The Commission on the Status of Women and Girls described its work on economic and educational equity, health care, violence prevention, student rights, and archival and outreach projects, and said its budget request would convert limited-term positions to permanent. A member urged the commission to narrow its priorities toward current issues such as affordability, child care, and women’s health. The California Arts Council outlined its role as the state’s only statewide arts funder and requested restoration of $5 million in local assistance; supporters testified that the funding would leverage additional local investment and help sustain arts access, especially in rural communities. The hearing ended after the non-presentation items were noted and no further public comment was offered.

Transcript Highlights:

• I guess maybe you're describing first aid type of stuff because to me, to hear that, I'm having a hard
• And when you say first aid,” “...within athletic training, first aid really falls under the emergent
• It's with the HIV-AIDS Institute, where they did a study with 17 states that had active legislation.
• My father died of AIDS in the '80s because he was taking a medication for hemophilia and it had HIV/AIDS

Committee: House Health and Mental Health

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• allows each parish to collaborate during emergency response efforts to share resources through mutual aid
• Resolution by Representative Walters to designate Wednesday, April 15th, as HIV Hepatitis C Education

Bills: HR119 , HR120 , HR121 , HR122 , HR123 , HR124 , HR125 , HR126 , HR127 , HR128 , HR129 , HR130 , HR131 , HR132 , HCR53 , HCR54 , HCR55 , HCR56 , HR115 , HR116 , HR117 , HR118 , SCR19 , SCR26 , SB102 , SB222 , SB255 , SB270 , SB273 , SB314 , SB418 , SB420 , HB21 , HB24 , HB29 , HB31 , HB39 , HB45 , HB49 , HB77 , HB136 , HB150 , HB211 , HB263 , HB273 , HB299 , HB315 , HB324 , HB376 , HB377 , HB422 , HB431 , HB444 , HB450 , HB519 , HB533 , HB538 , HB549 , HB559 , HB562 , HB663 , HB664 , HB715 , HB717 , HB805 , HB822 , HB823 , HB834 , HB864 , HB867 , HB1011 , HB1017 , HB1018 , HB1068 , HB1134 , HB1137 , HB1234 , HB1235 , HB1236 , HB310 , HCR6 , HCR19 , HCR10 , HR74 , HCR26 , HCR35 , HCR7 , HB51 , HB82 , HB143 , HB145 , HB160 , HB180 , HB192 , HB393 , HB430 , HB445 , HB506 , HB515 , HB521 , HB565 , HB590 , HB614 , HB638 , HB670 , HB672 , HB685 , HB692 , HB752 , HB773 , HB781 , HB799 , HB860 , HB874 , HB887 , HB917 , HB937 , HB956 , HB965 , HB972 , HB977 , HB982 , HB1006 , HB1010 , HB1044 , HB1072 , HB1088 , HB1179 , HB1200 , HB76 , HB132 , HB181 , HB210 , HB250 , HB265 , HB275 , HB291 , HB322 , HB342 , HB475 , HB486 , HB616 , HB635 , HB639 , HB690 , HB740 , HB757 , HB761 , HB774 , HB808 , HB855 , HB872 , HB883 , HB886 , HB903 , HB949 , HB962 , HB996 , HB1003 , HB1036 , HB1054 , HB1071 , HB1076 , HB1078 , HB1113 , HB1132 , HB1146 , HB1232 , HB1233 , HB140 , HB750 , HB911 , HB52 , HB154 , HB400 , HB463 , HB570 , HB631 , HB637 , HB870 , HB952 , HB961 , HB399 , HB868 , HB905 , HB401 , HB901 , HR20 , HB9 , HB58 , HB151 , HB193 , HB284 , HB459 , HB476 , HB577 , HB582 , HB605 , HB615 , HB682 , HB733 , HB915

Summary: The House met on April 9, 2026, established a quorum, and opened with prayer and the pledge. Members then spent much of the morning recognizing visiting groups and honoring individuals and teams, including Louisiana Emergency Preparedness Day, social workers, Black Women’s Health Initiative and My Sister’s Keeper, the Knock Knock Children’s Museum, and several championship school teams. The House also received committee reports and introduced a number of resolutions and Senate bills before moving into House bills on second reading and final passage. A large block of bills focused on taxation, procurement, transportation, public safety, and administrative modernization. The House passed measures on prompt payment for contractors, fleet vehicle registration, electronic bidding forms, cooperative purchasing by local governments, and use of federal procurement rules for buses and paratransit vehicles. Members also approved bills related to ad valorem millage rules and a constitutional amendment proposal to change legislative session dates, though that session-date measure was sent to Appropriations. Other bills passed addressed brick manufacturing and wood pellet manufacturing as economic development priorities, boiler inspection authority, the Fire Marshal’s role in child care center inspections, and the Louisiana Wallet digitized credentials program. Several public safety and social policy bills also advanced. The House passed bills increasing penalties for repeat DWI offenders with serious prior driving-related convictions, providing medical expense assistance for injured law enforcement officers and firefighters, creating a green/blue envelope program for drivers with autism or mental illness, and establishing a workplace violence measure for retail food service establishments. Members also passed bills on domestic violence, homelessness-related court programs, non-compete restrictions for interns and preceptors, pharmacy benefit managers, and health coverage for prosthetic and orthotic devices. One bill on jury trial reassignment in criminal cases failed on reconsideration by a vote of 50-49 and returned to the calendar. Most of the bills considered on final passage were approved by wide margins, with several receiving unanimous or near-unanimous support. A few measures were temporarily returned to the calendar or recommitted, including some domestic violence, insurance, and retirement-related bills. The House also adopted multiple amendments during debate, and several members requested co-authors on measures after passage.

Transcript Highlights:

• I will tell you that this same strategy of harm reduction is what's helped with our AIDS crisis.
• <00:39:28.200><c> crisis</c><00:39:28.640><c> we</c><00:39:28.760><c> did</c> helped just with our AIDS
• crisis we did helped just with our AIDS crisis we did the<00:39:29.160><c> exact</c><00:39:29.520><c
• We originally, Senator Greg and I and others, got the syringe service program started because of HIV
• </c> service program started because of HIV service program started because of HIV and<00:48:21.960><

Committee: Senate Health and Human Services

Transcript Highlights:

• The AIDS Drug Assistance Program, it says here, decreases expenditures by $50 million ongoing, but it
• Laura Thomas with the San Francisco AIDS Foundation and the Epidemics, California, asking you to reject
• Drug Assistance Program rebate fund to help us address pending federal cuts in HIV prevention from the
• Drug Assistance Program rebate fund to help us address pending federal cuts in HIV prevention from the
• Additionally, we want to support the AIDS Drug Assistance Program rebate fund emergency backfill from

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• direction for various community college programs and activities, expands the availability of financial aid
• And finally, the bill also appropriates up to $576 million over four years from the AIDS Drug Assistance
• Program Rebate Fund to support services for those living with and at risk of HIV. ...implementing $50
• And finally, the bill also appropriates up to $576 million over four years from the AIDS Drug Assistance
• Program Rebate Fund to support services for those living with and at risk of HIV.

Committee: House Budget

Transcript Highlights:

• Under the first Trump administration, the number of people receiving HIV treatment in Africa through
• the President's Emergency Plan and for AIDS relief, otherwise known as PEPFAR, it increased during the
• In 2020, PEPFAR reported that 2.8 million babies were born without HIV.
• It's undeniable that African AIDS is an entirely different disease from Western AIDS.
• To quote, my state, we got cut off for federal funds for AIDS testing and other things.

Committee: Senate Finance Committee

Transcript Highlights:

• In addition, I want to highlight our focus program, which is a program for screening HIV and also hepatitis
• We have over 100 new cases of HIV that we diagnose as a result of this program, which, as you can imagine
• , has a lot of downstream benefits in terms of other people who may have contracted HIV now avoiding
• Please feel free to reach out to me or committee staff or my legislative aide.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• California employees, contractors, and agents may not aid another state's investigation of an individual
• Medical care for transgender patients did not move back into academic centers until the HIV epidemic.
• Medical care for transgender patients did not move back into academic centers until the HIV epidemic.
• For transgender patients, care did not move back into academic centers until the HIV epidemic.
• Madam Chair, Orsie Gonzalez, on behalf of DAP Health, also known as the Desert AIDS Project, we serve

Summary: The joint hearing focused on access to gender-affirming care in California, with members of the Senate and Assembly budget subcommittees hearing first from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services. State officials described California’s legal protections against discrimination, privacy protections, shield laws, and Medi-Cal and commercial plan coverage requirements for medically necessary gender-affirming care. They also outlined ongoing litigation and advocacy against federal actions and proposed rules that could restrict care, including challenges to executive orders, HHS declarations, and federal reimbursement rules, as well as a temporary restraining order protecting care at Rady Children’s Hospital. Committee members pressed the agencies on why some hospitals that had stopped providing care had not been sued, how the state measures network adequacy and equitable access, whether the $15 million previously allocated for gender-affirming care had been used, and what additional statutory changes might be needed. DMHC and DHCS said they regulate health plans rather than providers directly, rely on complaints and independent medical review to address denials or delays, and do not track utilization or have a specific provider category for gender-affirming care. DOJ said it is focused on the federal government as the source of pressure on hospitals and providers, while members discussed possible shield-law expansions and, if federal rules are finalized, the possibility of state-only funding to preserve access. The second panel featured a physician, clinic leaders, parents, and a transgender teen describing how families navigate care and the effects of hospital closures and insurance barriers. Dr. Johanna Olson-Kennedy gave a history of transgender health care, described puberty blockers and hormones as established treatments, and said minors need parental consent for medical interventions. J.M. Jaffe of Lyon Martin Community Health Services said community clinics are absorbing patients after hospital programs closed and asked for $26 million in state funding to expand capacity. Parents and youth testified about delays, out-of-network referrals, lost coverage, and the emotional strain of uncertainty, while also urging the Legislature to stabilize access and protect continuity of care.

Transcript Highlights:

• California employees, contractors, and agents may not aid another state's investigation of an individual
• Medical care for transgender patients did not move back into academic centers until the HIV epidemic.
• Medical care for transgender patients did not move back into academic centers until the HIV epidemic.
• For transgender patients, care did not move back into academic centers until the HIV epidemic.
• Madam Chair, Orsie Gonzalez, on behalf of DAP Health, also known as the Desert AIDS Project, we serve

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.

Transcript Highlights:

• They have suffered loss. upon loss, through the AIDS crisis, through suicide, through the stress of being
• Generational investments in HIV AIDS prevention. And so much more.

Transcript Highlights:

• ><01:29:34.560><c> the</c><01:29:34.719><c> multiple</c> HIV is just one of the multiple HIV is just
• </c><01:30:00.000><c> HIV</c><01:30:00.560><c> is</c> basis or a weekly basis.
• HIV is basis or a weekly basis.
• of people living with HIV who are under<01:30:37.440><c> age</c><01:30:38.040><c> 55.
• So uh all those in favor of the aid<01:57:12.239><c> oh</c><01:57:12.800><c> Senator</c> aid oh Senator

Committee: Senate Human Services